Evidence map›Paper›PMID 25788003›Full record

Trial reportAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2015

Noroviruses as a Cause of Diarrhea in Immunocompromised Pediatric Hematopoietic Stem Cell and Solid Organ Transplant Recipients.

X Ye, J N Van, F M Munoz, P A Revell, C A Kozinetz, R A Krance, R L Atmar, M K Estes, H L Koo

Open access · hybridAbstract readClinical Trial
In one paragraph

Trial report in American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
7.2field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 66 citations in OpenAlex.

  1. Article
  2. Chronic persistent Norovirus in the immune-compromised host.Current opinion in infectious diseases · 2025
    Review
  3. Post-transplant diarrhea in pediatric kidney transplant recipients.Pediatric nephrology (Berlin, Germany) · 2025
    Review
  4. Review
  5. Review
  6. Review
  7. Article
  8. Norovirus in Cancer Patients: A Review.Open forum infectious diseases · 2021
    Review
  9. Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2021
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Norovirus Illnesses in Children and Adolescents.Infectious disease clinics of North America · 2018
    Review
  15. Article
  16. Article
  17. Chronic norovirus infection and common variable immunodeficiency.Clinical and experimental immunology · 2017
    Review
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

X YeDepartment of Medicine, Baylor College of Medicine, Houston, TX.
J N VanDepartment of Medicine, Baylor College of Medicine, Houston, TX.
F M MunozDepartment of Pediatrics, Baylor College of Medicine, Houston, TX.
P A RevellDepartment of Pediatrics, Baylor College of Medicine, Houston, TX.
C A KozinetzDepartment of Biostatistics and Epidemiology, East Tennessee State University, Johnson City, TN.
R A KranceDepartment of Pediatrics, Baylor College of Medicine, Houston, TX.
R L AtmarDepartment of Medicine, Baylor College of Medicine, Houston, TX.
M K EstesDepartment of Molecular Virology & Microbiology, Baylor College of Medicine, Houston, TX.
H L KooDepartment of Medicine, Baylor College of Medicine, Houston, TX.
Baylor College of Medicine · USEast Tennessee State University · USTexas Children's Hospital · US

Funding

X-ray Crystallographic Studies on CalicivirusesP01AI057788 · NIAID · BAYLOR COLLEGE OF MEDICINE · PI ATMAR, ROBERT L., ESTES, MARY KOLB · 2004 to 2024
$34.4M
Tissue Analysis & Molecular Imaging CoreP30DK056338 · NIDDK · BAYLOR COLLEGE OF MEDICINE · PI Geoffrey A Preidis · 2001 to 2026
$28.3M
Host Genetic Susceptibility and Immune Responses to Norovirus InfectionsK23DK084513 · NIDDK · BAYLOR COLLEGE OF MEDICINE · PI KOO, HOONMO LEE · 2009 to 2012
$699k
NIAID NIH HHS P01 AI057788NIDDK NIH HHS 1K23DK084513NIDDK NIH HHS K23 DK084513NIDDK NIH HHS P30 DK056338
6 · The paper itself

Abstract

Case reports describe significant norovirus gastroenteritis morbidity in immunocompromised patients. We evaluated norovirus pathogenesis in prospectively enrolled solid organ (SOT) and hematopoietic stem cell transplant (HSCT) patients with diarrhea who presented to Texas Children's Hospital and submitted stool for enteric testing. Noroviruses were detected by real-time reverse transcription polymerase chain reaction. Clinical outcomes of norovirus diarrhea and non-norovirus diarrhea patients, matched by transplanted organ type, were compared. Norovirus infection was identified in 25 (22%) of 116 patients, more frequently than other enteropathogens. Fifty percent of norovirus patients experienced diarrhea lasting ≥14 days, with median duration of 12.5 days (range 1-324 days); 29% developed diarrhea recurrence. Fifty-five percent of norovirus patients were hospitalized for diarrhea, with 27% requiring intensive care unit (ICU) admission. One HSCT recipient developed pneumatosis intestinalis. Three HSCT patients expired ≤6 months of norovirus diarrhea onset. Compared to non-norovirus diarrhea patients, norovirus patients experienced significantly more frequent ICU admission (27% vs. 0%, p = 0.02), greater serum creatinine rise (median 0.3 vs. 0.2 mg/dL, p = 0.01), and more weight loss (median 1.6 vs. 0.6 kg, p < 0.01). Noroviruses are an important cause of diarrhea in pediatric transplant patients and are associated with significant clinical complications.

Indexed as

Hematopoietic Stem Cell TransplantationImmunocompromised HostOrgan TransplantationCaliciviridae InfectionsChildDiarrheaFecesFemaleFollow-Up StudiesGraft RejectionGraft SurvivalHumansMaleNorovirusPrognosisProspective StudiesRNA, Viralclinical research / practiceinfection and infectious agentsinfectious diseaseintestinal disease: infectiouspediatricsviral

Identifiers

PMID25788003
PMCPMC4780324
OpenAlexW1511463047

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.